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KMID : 1103720210820020475
Journal of the Korean Society of Radiology
2021 Volume.82 No. 2 p.475 ~ p.480
A Case of Xanthogranulomatous Pyelonephritis with Nephropleural Fistula Formation: Role of MRI in Diagnosis and Treatment
Lee Geon-Yang

Moon Sung-Kyoung
You Myung-Won
Lim Joo-Won
Abstract
Xanthogranulomatous pyelonephritis (XGP) is a rare type of chronic bacterial nephritis, which rarely involves the invasion of adjacent organs or the formation of fistulas due to tissue-destructive granulomatous reactions. Although the invasions of various adjacent organs have been reported in several cases of XGP, MRI data on their features are limited. MRI has a better soft-tissue resolution than CT. Thus, it can identify the extent of extrarenal involvement in advanced XGP, and the findings can be used in treatment planning. Herein, we report a rare case of XGP with nephropleural fistula formation diagnosed using CT and MRI.
KEYWORD
Pyelonephritis, Xanthogranulomatous, Magnetic Reonance Imaging, Fistula, Kidney
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